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de Kanter AFJ, Jongsma KR, Verhaar MC, Bredenoord AL. The Ethical Implications of Tissue Engineering for Regenerative Purposes: A Systematic Review. TISSUE ENGINEERING. PART B, REVIEWS 2023; 29:167-187. [PMID: 36112697 PMCID: PMC10122262 DOI: 10.1089/ten.teb.2022.0033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 08/30/2022] [Indexed: 11/12/2022]
Abstract
Tissue Engineering (TE) is a branch of Regenerative Medicine (RM) that combines stem cells and biomaterial scaffolds to create living tissue constructs to restore patients' organs after injury or disease. Over the last decade, emerging technologies such as 3D bioprinting, biofabrication, supramolecular materials, induced pluripotent stem cells, and organoids have entered the field. While this rapidly evolving field is expected to have great therapeutic potential, its development from bench to bedside presents several ethical and societal challenges. To make sure TE will reach its ultimate goal of improving patient welfare, these challenges should be mapped out and evaluated. Therefore, we performed a systematic review of the ethical implications of the development and application of TE for regenerative purposes, as mentioned in the academic literature. A search query in PubMed, Embase, Scopus, and PhilPapers yielded 2451 unique articles. After systematic screening, 237 relevant ethical and biomedical articles published between 2008 and 2021 were included in our review. We identified a broad range of ethical implications that could be categorized under 10 themes. Seven themes trace the development from bench to bedside: (1) animal experimentation, (2) handling human tissue, (3) informed consent, (4) therapeutic potential, (5) risk and safety, (6) clinical translation, and (7) societal impact. Three themes represent ethical safeguards relevant to all developmental phases: (8) scientific integrity, (9) regulation, and (10) patient and public involvement. This review reveals that since 2008 a significant body of literature has emerged on how to design clinical trials for TE in a responsible manner. However, several topics remain in need of more attention. These include the acceptability of alternative translational pathways outside clinical trials, soft impacts on society and questions of ownership over engineered tissues. Overall, this overview of the ethical and societal implications of the field will help promote responsible development of new interventions in TE and RM. It can also serve as a valuable resource and educational tool for scientists, engineers, and clinicians in the field by providing an overview of the ethical considerations relevant to their work. Impact statement To our knowledge, this is the first time that the ethical implications of Tissue Engineering (TE) have been reviewed systematically. By gathering existing scholarly work and identifying knowledge gaps, this review facilitates further research into the ethical and societal implications of TE and Regenerative Medicine (RM) and other emerging biomedical technologies. Moreover, it will serve as a valuable resource and educational tool for scientists, engineers, and clinicians in the field by providing an overview of the ethical considerations relevant to their work. As such, our review may promote successful and responsible development of new strategies in TE and RM.
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Affiliation(s)
- Anne-Floor J. de Kanter
- Department of Medical Humanities, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Karin R. Jongsma
- Department of Medical Humanities, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Marianne C. Verhaar
- Department of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Annelien L. Bredenoord
- Department of Medical Humanities, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
- Erasmus School of Philosophy, Erasmus University Rotterdam, Rotterdam, The Netherlands
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2
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Walther AR, Ditzel N, Kassem M, Andersen MØ, Hedegaard MAB. In vivo non-invasive monitoring of tissue development in 3D printed subcutaneous bone scaffolds using fibre-optic Raman spectroscopy. BIOMATERIALS AND BIOSYSTEMS 2022; 7:100059. [PMID: 36824488 PMCID: PMC9934492 DOI: 10.1016/j.bbiosy.2022.100059] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 07/04/2022] [Accepted: 07/25/2022] [Indexed: 10/16/2022] Open
Abstract
The development of novel biomaterials for regenerative therapy relies on the ability to assess tissue development, quality, and similarity with native tissue types in in vivo experiments. Non-invasive imaging modalities such as X-ray computed tomography offer high spatial resolution but limited biochemical information while histology and biochemical assays are destructive. Raman spectroscopy is a non-invasive, label-free and non-destructive technique widely applied for biochemical characterization. Here we demonstrate the use of fibre-optic Raman spectroscopy for in vivo quantitative monitoring of tissue development in subcutaneous calcium phosphate scaffolds in mice over 16 weeks. Raman spectroscopy was able to quantify the time dependency of different tissue components related to the presence, absence, and quantity of mesenchymal stem cells. Scaffolds seeded with stem cells produced 3-5 times higher amount of collagen-rich extracellular matrix after 16 weeks implantation compared to scaffolds without. These however, showed a 2.5 times higher amount of lipid-rich tissue compared to implants with stem cells. Ex vivo micro-computed tomography and histology showed stem cell mediated collagen and bone development. Histological measures of collagen correlated well with Raman derived quantifications (correlation coefficient in vivo 0.74, ex vivo 0.93). In the absence of stem cells, the scaffolds were largely occupied by adipocytes. The technique developed here could potentially be adapted for a range of small animal experiments for assessing tissue engineering strategies at the biochemical level.
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Affiliation(s)
- Anders Runge Walther
- SDU Biotechnology, Department of Green Technology, University of Southern Denmark, Campusvej 55, DK-5230 Odense, Denmark
| | - Nicholas Ditzel
- Endocrine Research (KMEB), Department of Endocrinology, Odense University Hospital and University of Southern Denmark, J.B. Winsløws Vej 25, DK-5000 Odense, Denmark
| | - Moustapha Kassem
- Endocrine Research (KMEB), Department of Endocrinology, Odense University Hospital and University of Southern Denmark, J.B. Winsløws Vej 25, DK-5000 Odense, Denmark
| | - Morten Østergaard Andersen
- SDU Biotechnology, Department of Green Technology, University of Southern Denmark, Campusvej 55, DK-5230 Odense, Denmark
| | - Martin Aage Barsøe Hedegaard
- SDU Biotechnology, Department of Green Technology, University of Southern Denmark, Campusvej 55, DK-5230 Odense, Denmark
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3
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Quality control methods in musculoskeletal tissue engineering: from imaging to biosensors. Bone Res 2021; 9:46. [PMID: 34707086 PMCID: PMC8551153 DOI: 10.1038/s41413-021-00167-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Revised: 04/23/2021] [Accepted: 06/27/2021] [Indexed: 02/06/2023] Open
Abstract
Tissue engineering is rapidly progressing toward clinical application. In the musculoskeletal field, there has been an increasing necessity for bone and cartilage replacement. Despite the promising translational potential of tissue engineering approaches, careful attention should be given to the quality of developed constructs to increase the real applicability to patients. After a general introduction to musculoskeletal tissue engineering, this narrative review aims to offer an overview of methods, starting from classical techniques, such as gene expression analysis and histology, to less common methods, such as Raman spectroscopy, microcomputed tomography, and biosensors, that can be employed to assess the quality of constructs in terms of viability, morphology, or matrix deposition. A particular emphasis is given to standards and good practices (GXP), which can be applicable in different sectors. Moreover, a classification of the methods into destructive, noninvasive, or conservative based on the possible further development of a preimplant quality monitoring system is proposed. Biosensors in musculoskeletal tissue engineering have not yet been used but have been proposed as a novel technology that can be exploited with numerous advantages, including minimal invasiveness, making them suitable for the development of preimplant quality control systems.
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Gadomska‐Gajadhur A, Kruk A, Ruśkowski P, Sajkiewicz P, Dulnik J, Chwojnowski A. Original method of imprinting pores in scaffolds for tissue engineering. POLYM ADVAN TECHNOL 2021. [DOI: 10.1002/pat.5091] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
| | - Aleksandra Kruk
- Faculty of Chemistry Warsaw University of Technology Warsaw Poland
| | - Paweł Ruśkowski
- Faculty of Chemistry Warsaw University of Technology Warsaw Poland
| | - Paweł Sajkiewicz
- Institute of Fundamental Technological Research PAS Warsaw Poland
| | - Judyta Dulnik
- Institute of Fundamental Technological Research PAS Warsaw Poland
| | - Andrzej Chwojnowski
- Nałęcz Institute of Biocybernetics and Biomedical Engineering PAS Warsaw Poland
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5
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Kohli N, Sawadkar P, Ho S, Sharma V, Snow M, Powell S, Woodruff MA, Hook L, García-Gareta E. Pre-screening the intrinsic angiogenic capacity of biomaterials in an optimised ex ovo chorioallantoic membrane model. J Tissue Eng 2020; 11:2041731420901621. [PMID: 32110373 PMCID: PMC7000866 DOI: 10.1177/2041731420901621] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2019] [Accepted: 12/23/2019] [Indexed: 12/12/2022] Open
Abstract
Biomaterial development for clinical applications is currently on the rise. This necessitates adequate in vitro testing, where the structure and composition of biomaterials must be specifically tailored to withstand in situ repair and regeneration responses for a successful clinical outcome. The chorioallantoic membrane of chicken embryos has been previously used to study angiogenesis, a prerequisite for most tissue repair and regeneration. In this study, we report an optimised ex ovo method using a glass-cling film set-up that yields increased embryo survival rates and has an improved protocol for harvesting biomaterials. Furthermore, we used this method to examine the intrinsic angiogenic capacity of a variety of biomaterials categorised as natural, synthetic, natural/synthetic and natural/natural composites with varying porosities. We detected significant differences in biomaterials' angiogenesis with natural polymers and polymers with a high overall porosity showing a greater vascularisation compared to synthetic polymers. Therefore, our proposed ex ovo chorioallantoic membrane method can be effectively used to pre-screen biomaterials intended for clinical application.
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Affiliation(s)
- Nupur Kohli
- Regenerative Biomaterials Group, RAFT
Institute, Mount Vernon Hospital, Northwood, UK
- Department of Mechanical Engineering,
Imperial College London, London, UK
| | - Prasad Sawadkar
- Regenerative Biomaterials Group, RAFT
Institute, Mount Vernon Hospital, Northwood, UK
| | - Sonia Ho
- Regenerative Biomaterials Group, RAFT
Institute, Mount Vernon Hospital, Northwood, UK
| | - Vaibhav Sharma
- Regenerative Biomaterials Group, RAFT
Institute, Mount Vernon Hospital, Northwood, UK
| | - Martyn Snow
- Royal Orthopaedic Hospital NHS
Foundation Trust, Birmingham, UK
| | - Sean Powell
- Institute of Health and Biomedical
Innovation, Queensland University of Technology, Brisbane, Australia
| | - Maria A Woodruff
- Institute of Health and Biomedical
Innovation, Queensland University of Technology, Brisbane, Australia
| | - Lilian Hook
- Smart Matrix Limited, Leopold Muller
Building, Mount Vernon Hospital, Northwood, UK
| | - Elena García-Gareta
- Regenerative Biomaterials Group, RAFT
Institute, Mount Vernon Hospital, Northwood, UK
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6
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Pearce HA, Kim YS, Diaz-Gomez L, Mikos AG. Tissue Engineering Scaffolds. Biomater Sci 2020. [DOI: 10.1016/b978-0-12-816137-1.00082-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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7
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Park BU, Park SM, Lee KP, Lee SJ, Nam YE, Park HS, Eom S, Lim JO, Kim DS, Kim HK. Collagen immobilization on ultra-thin nanofiber membrane to promote in vitro endothelial monolayer formation. J Tissue Eng 2019; 10:2041731419887833. [PMID: 31762986 PMCID: PMC6856979 DOI: 10.1177/2041731419887833] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2019] [Accepted: 10/21/2019] [Indexed: 12/31/2022] Open
Abstract
The endothelialization on the poly (ε-caprolactone) nanofiber has been limited due to its low hydrophilicity. The aim of this study was to immobilize collagen on an ultra-thin poly (ε-caprolactone) nanofiber membrane without altering the nanofiber structure and maintaining the endothelial cell homeostasis on it. We immobilized collagen on the poly (ε-caprolactone) nanofiber using hydrolysis by NaOH treatment and 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide/sulfo-N-hydroxysulfosuccinimide reaction as a cost-effective and stable approach. NaOH was first applied to render the poly (ε-caprolactone) nanofiber hydrophilic. Subsequently, collagen was immobilized on the surface of the poly (ε-caprolactone) nanofibers using 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide/sulfo-N-hydroxysulfosuccinimide. Scanning electron microscopy, Fourier transform infrared spectroscopy, transmission electron microscopy, and fluorescence microscopy were used to verify stable collagen immobilization on the surface of the poly (ε-caprolactone) nanofibers and the maintenance of the original structure of poly (ε-caprolactone) nanofibers. Furthermore, human endothelial cells were cultured on the collagen-immobilized poly (ε-caprolactone) nanofiber membrane and expressed tight junction proteins with the increase in transendothelial electrical resistance, which demonstrated the maintenance of the endothelial cell homeostasis on the collagen-immobilized-poly (ε-caprolactone) nanofiber membrane. Thus, we expected that this process would be promising for maintaining cell homeostasis on the ultra-thin poly (ε-caprolactone) nanofiber scaffolds.
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Affiliation(s)
- Byeong-Ung Park
- Bio-Medical Institute, Kyungpook National University Hospital (KNUH), Daegu, South Korea.,Department of Ophthalmology, School of Medicine, Kyungpook National University, Daegu, South Korea
| | - Sang Min Park
- Department of Mechanical Engineering, Pohang University of Science and Technology (POSTECH), Pohang, South Korea.,School of Mechanical Engineering, Pusan National University, Busan, South Korea
| | - Kyoung-Pil Lee
- Bio-Medical Institute, Kyungpook National University Hospital (KNUH), Daegu, South Korea.,Department of Ophthalmology, School of Medicine, Kyungpook National University, Daegu, South Korea
| | - Seong Jin Lee
- Department of Mechanical Engineering, Pohang University of Science and Technology (POSTECH), Pohang, South Korea
| | - Yu Eun Nam
- Bio-Medical Institute, Kyungpook National University Hospital (KNUH), Daegu, South Korea.,Department of Ophthalmology, School of Medicine, Kyungpook National University, Daegu, South Korea
| | - Han Sang Park
- Department of Ophthalmology, School of Medicine, Kyungpook National University, Daegu, South Korea
| | - Seongsu Eom
- Department of Mechanical Engineering, Pohang University of Science and Technology (POSTECH), Pohang, South Korea
| | - Jeong Ok Lim
- Biomedical Research Institute, Joint Institute for Regenerative Medicine, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, South Korea
| | - Dong Sung Kim
- Department of Mechanical Engineering, Pohang University of Science and Technology (POSTECH), Pohang, South Korea
| | - Hong Kyun Kim
- Bio-Medical Institute, Kyungpook National University Hospital (KNUH), Daegu, South Korea.,Department of Ophthalmology, School of Medicine, Kyungpook National University, Daegu, South Korea
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8
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Fragogeorgi EA, Rouchota M, Georgiou M, Velez M, Bouziotis P, Loudos G. In vivo imaging techniques for bone tissue engineering. J Tissue Eng 2019; 10:2041731419854586. [PMID: 31258885 PMCID: PMC6589947 DOI: 10.1177/2041731419854586] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
Bone is a dynamic tissue that constantly undergoes modeling and remodeling. Bone tissue engineering relying on the development of novel implant scaffolds for the treatment of pre-clinical bone defects has been extensively evaluated by histological techniques. The study of bone remodeling, that takes place over several weeks, is limited by the requirement of a large number of animals and time-consuming and labor-intensive procedures. X-ray-based imaging methods that can non-invasively detect the newly formed bone tissue have therefore been extensively applied in pre-clinical research and in clinical practice. The use of other imaging techniques at a pre-clinical level that act as supportive tools is convenient. This review mainly focuses on nuclear imaging methods (single photon emission computed tomography and positron emission tomography), either alone or used in combination with computed tomography. It addresses their application to small animal models with bone defects, both untreated and filled with substitute materials, to boost the knowledge on bone regenerative processes.
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Affiliation(s)
- Eirini A Fragogeorgi
- Institute of Nuclear & Radiological Sciences and Technology, Energy & Safety (INRASTES), NCSR "Demokritos", Athens, Greece
| | - Maritina Rouchota
- Bioemission Technology Solutions (BIOEMTECH), Athens, Greece / Lefkippos Attica Technology Park, NCSR "Demokritos", Athens, Greece
| | - Maria Georgiou
- Department of Biomedical Engineering, University of West Attica, Athens, Greece
| | - Marisela Velez
- Instituto de Catálisis y Petroleoquímica (CSIC), Madrid, Spain
| | - Penelope Bouziotis
- Institute of Nuclear & Radiological Sciences and Technology, Energy & Safety (INRASTES), NCSR "Demokritos", Athens, Greece
| | - George Loudos
- Institute of Nuclear & Radiological Sciences and Technology, Energy & Safety (INRASTES), NCSR "Demokritos", Athens, Greece.,Bioemission Technology Solutions (BIOEMTECH), Athens, Greece / Lefkippos Attica Technology Park, NCSR "Demokritos", Athens, Greece
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9
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Koons GL, Mikos AG. Progress in three-dimensional printing with growth factors. J Control Release 2019; 295:50-59. [PMID: 30579982 PMCID: PMC6358495 DOI: 10.1016/j.jconrel.2018.12.035] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Revised: 11/06/2018] [Accepted: 12/19/2018] [Indexed: 12/19/2022]
Abstract
Incorporation of growth factors in biomedical constructs can encourage cellular activities necessary for tissue regeneration within an implant system. Three-dimensional printing offers a capacity for spatial dictation and dosage control of incorporated growth factors which promises to minimize complications from the supraphysiologic doses and burst release involved in current growth factor delivery systems. Successful implementation of three-dimensional printing with growth factors requires preservation of the bioactivity of printed growth factors, spatial localization of growth factors within the construct architecture during printing, and controlled release of growth factors after printing. This review describes demonstrated approaches for addressing each of these goals, including direct inclusion of growth factors with the biomaterial during printing, or intermediary encapsulation of growth factors in delivery vehicles such as microparticles or nanoparticles.
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Affiliation(s)
- Gerry L Koons
- Department of Bioengineering, Rice University, Houston, TX, USA; Center for Engineering Complex Tissues, USA; Medical Scientist Training Program, Baylor College of Medicine, Houston, TX, USA.
| | - Antonios G Mikos
- Department of Bioengineering, Rice University, Houston, TX, USA; Center for Engineering Complex Tissues, USA.
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10
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Wu W, Liu X, Zhou Z, Miller AL, Lu L. Three-dimensional porous poly(propylene fumarate)-co-poly(lactic-co-glycolic acid) scaffolds for tissue engineering. J Biomed Mater Res A 2018; 106:2507-2517. [PMID: 29707898 PMCID: PMC9933994 DOI: 10.1002/jbm.a.36446] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2018] [Revised: 04/13/2018] [Accepted: 04/25/2018] [Indexed: 12/25/2022]
Abstract
Three-dimensional structural scaffolds have played an important role in tissue engineering, especially broad applications in areas such as regenerative medicine. We have developed novel biodegradable porous poly(propylene fumarate)-co-poly(lactic-co-glycolic acid) (PPF-co-PLGA) scaffolds using thermally induced phase separation, and determined the effects of critical parameters such as copolymer concentration (6, 8, and 10 wt %) and the binary solvent ratio of dioxane:water (78/22, 80/20, 82/18 wt/wt %) on the fabrication process. The cloud-point temperatures of PPF-co-PLGA changed in parallel with increasing copolymer concentration, but inversely with increasing dioxane content. The compressive moduli of the scaffolds increased with greater weight composition and dioxane:water ratio. Scaffolds formed using high copolymer concentrations and solvent ratios exhibited preferable biomineralization. All samples showed biodegradation capability in both accelerated solution and phosphate-buffered saline (PBS). Cell toxicity testing indicated that the scaffolds had good biocompatibility with bone and nerve cells, which adhered well to the scaffolds. Variations in the copolymer concentration and solvent ratio exercised a remarkable influence on morphology, mechanical properties, biomineralization, and biodegradation, but not on the cell viability and adhesion of the cross-linked scaffolds. An 8 to 10 wt % solute concentration and 80/20 to 82/18 wt/wt dioxane:water ratio were the optimum parameters for scaffold fabrication. PPF-co-PLGA scaffolds thus possess several promising prospects for tissue engineering applications. © 2018 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 106A:2507-2517, 2018.
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Affiliation(s)
- Wei Wu
- Department of Physiology and Biomedical Engineering, Mayo Clinic College of Medicine, Rochester, Minnesota, MN, 55905, USA,Department of Orthopedic Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota, MN, 55905, USA,Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Xifeng Liu
- Department of Physiology and Biomedical Engineering, Mayo Clinic College of Medicine, Rochester, Minnesota, MN, 55905, USA,Department of Orthopedic Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota, MN, 55905, USA
| | - Zifei Zhou
- Department of Physiology and Biomedical Engineering, Mayo Clinic College of Medicine, Rochester, Minnesota, MN, 55905, USA,Department of Orthopedic Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota, MN, 55905, USA,Department of Orthopedic Surgery, Shanghai East Hospital, Tongji University, Shanghai, 200120, China
| | - A. Lee Miller
- Department of Orthopedic Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota, MN, 55905, USA
| | - Lichun Lu
- Department of Physiology and Biomedical Engineering, Mayo Clinic College of Medicine, Rochester, Minnesota, MN, 55905, USA,Department of Orthopedic Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota, MN, 55905, USA,Corresponding Author: Lichun Lu, Ph.D, Professor of Biomedical Engineering and Orthopedics, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905 USA, Phone: (507)-284-2267, Fax: 507-284-5075,
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11
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Zhang YS, Yao J. Imaging Biomaterial-Tissue Interactions. Trends Biotechnol 2018; 36:403-414. [PMID: 29054313 PMCID: PMC5837919 DOI: 10.1016/j.tibtech.2017.09.004] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Revised: 09/17/2017] [Accepted: 09/25/2017] [Indexed: 01/27/2023]
Abstract
Modern biomedical imaging has revolutionized life science by providing anatomical, functional, and molecular information of biological species with high spatial resolution, deep penetration, enhanced temporal responsiveness, and improved chemical specificity. In recent years, these imaging techniques have been increasingly tailored for characterizing biomaterials and probing their interactions with biological tissues. This in turn has spurred substantial advances in engineering material properties to accommodate different imaging modalities that was previously unattainable. Here, we review advances in engineering both imaging modalities and material properties with improved contrast, providing a timely practical guide to better assess biomaterial-tissue interactions both in vitro and in vivo.
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Affiliation(s)
- Yu Shrike Zhang
- Division of Engineering in Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Cambridge, MA 02139, USA.
| | - Junjie Yao
- Photoacoustic Imaging Lab, Department of Biomedical Engineering, Duke University, Durham, NC 27708, USA.
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12
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Stem Cells for Cartilage Repair: Preclinical Studies and Insights in Translational Animal Models and Outcome Measures. Stem Cells Int 2018. [PMID: 29535784 PMCID: PMC5832141 DOI: 10.1155/2018/9079538] [Citation(s) in RCA: 54] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
Due to the restricted intrinsic capacity of resident chondrocytes to regenerate the lost cartilage postinjury, stem cell-based therapies have been proposed as a novel therapeutic approach for cartilage repair. Moreover, stem cell-based therapies using mesenchymal stem cells (MSCs) or induced pluripotent stem cells (iPSCs) have been used successfully in preclinical and clinical settings. Despite these promising reports, the exact mechanisms underlying stem cell-mediated cartilage repair remain uncertain. Stem cells can contribute to cartilage repair via chondrogenic differentiation, via immunomodulation, or by the production of paracrine factors and extracellular vesicles. But before novel cell-based therapies for cartilage repair can be introduced into the clinic, rigorous testing in preclinical animal models is required. Preclinical models used in regenerative cartilage studies include murine, lapine, caprine, ovine, porcine, canine, and equine models, each associated with its specific advantages and limitations. This review presents a summary of recent in vitro data and from in vivo preclinical studies justifying the use of MSCs and iPSCs in cartilage tissue engineering. Moreover, the advantages and disadvantages of utilizing small and large animals will be discussed, while also describing suitable outcome measures for evaluating cartilage repair.
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13
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Yousefi F, Kim M, Nahri SY, Mauck RL, Pleshko N. Near-Infrared Spectroscopy Predicts Compositional and Mechanical Properties of Hyaluronic Acid-Based Engineered Cartilage Constructs. Tissue Eng Part A 2018; 24:106-116. [PMID: 28398127 PMCID: PMC5770116 DOI: 10.1089/ten.tea.2017.0035] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2017] [Accepted: 04/03/2017] [Indexed: 11/12/2022] Open
Abstract
Hyaluronic acid (HA) has been widely used for cartilage tissue engineering applications. However, the optimal time point to harvest HA-based engineered constructs for cartilage repair is still under investigation. In this study, we investigated the ability of a nondestructive modality, near-infrared spectroscopic (NIR) analysis, to predict compositional and mechanical properties of HA-based engineered cartilage constructs. NIR spectral data were collected from control, unseeded constructs, and twice per week by fiber optic from constructs seeded with chondrocytes during their development over an 8-week period. Constructs were harvested at 2, 4, 6, and 8 weeks, collagen and sulfated glycosaminoglycan content measured using biochemical assays, and the mechanical properties of the constructs evaluated using unconfined compression tests. NIR absorbances associated with the scaffold material, water, and engineered cartilage matrix, were identified. The NIR-determined matrix absorbance plateaued after 4 weeks of culture, which was in agreement with the biochemical assay results. Similarly, the mechanical properties of the constructs also plateaued at 4 weeks. A multivariate partial least square model based on NIR spectral input was developed to predict the moduli of the constructs, which resulted in a prediction error of 10% and R value of 0.88 for predicted versus actual values of dynamic modulus. Furthermore, the maximum increase in moduli was calculated from the first derivative of the curve fit of NIR-predicted and actual moduli values over time, and both occurred at ∼2 weeks. Collectively, these data suggest that NIR spectral data analysis could be an alternative to destructive biochemical and mechanical methods for evaluation of HA-based engineered cartilage construct properties.
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Affiliation(s)
- Farzad Yousefi
- Tissue Imaging and Spectroscopy Lab, Department of Bioengineering, Temple University, Philadelphia, Pennsylvania
| | - Minwook Kim
- Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
- Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Syeda Yusra Nahri
- Tissue Imaging and Spectroscopy Lab, Department of Bioengineering, Temple University, Philadelphia, Pennsylvania
| | - Robert L. Mauck
- Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
- Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Nancy Pleshko
- Tissue Imaging and Spectroscopy Lab, Department of Bioengineering, Temple University, Philadelphia, Pennsylvania
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14
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Zhang YS, Zhu C, Xia Y. Inverse Opal Scaffolds and Their Biomedical Applications. ADVANCED MATERIALS (DEERFIELD BEACH, FLA.) 2017; 29:10.1002/adma.201701115. [PMID: 28649794 PMCID: PMC5581229 DOI: 10.1002/adma.201701115] [Citation(s) in RCA: 74] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/25/2017] [Revised: 03/23/2017] [Indexed: 05/04/2023]
Abstract
Three-dimensional porous scaffolds play a pivotal role in tissue engineering and regenerative medicine by functioning as biomimetic substrates to manipulate cellular behaviors. While many techniques have been developed to fabricate porous scaffolds, most of them rely on stochastic processes that typically result in scaffolds with pores uncontrolled in terms of size, structure, and interconnectivity, greatly limiting their use in tissue regeneration. Inverse opal scaffolds, in contrast, possess uniform pores inheriting from the template comprised of a closely packed lattice of monodispersed microspheres. The key parameters of such scaffolds, including architecture, pore structure, porosity, and interconnectivity, can all be made uniform across the same sample and among different samples. In conjunction with a tight control over pore sizes, inverse opal scaffolds have found widespread use in biomedical applications. In this review, we provide a detailed discussion on this new class of advanced materials. After a brief introduction to their history and fabrication, we highlight the unique advantages of inverse opal scaffolds over their non-uniform counterparts. We then showcase their broad applications in tissue engineering and regenerative medicine, followed by a summary and perspective on future directions.
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Affiliation(s)
- Yu Shrike Zhang
- Division of Engineering in Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Cambridge, MA, 02139, USA
| | - Chunlei Zhu
- The Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, 30332, USA
| | - Younan Xia
- The Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, 30332, USA
- School of Chemistry and Biochemistry, School of Chemical and Biomolecular Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA
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Trachtenberg JE, Placone JK, Smith BT, Fisher JP, Mikos AG. Extrusion-based 3D printing of poly(propylene fumarate) scaffolds with hydroxyapatite gradients. JOURNAL OF BIOMATERIALS SCIENCE. POLYMER EDITION 2017; 28:532-554. [PMID: 28125380 PMCID: PMC5597446 DOI: 10.1080/09205063.2017.1286184] [Citation(s) in RCA: 69] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2016] [Accepted: 01/20/2017] [Indexed: 12/30/2022]
Abstract
The primary focus of this work is to present the current challenges of printing scaffolds with concentration gradients of nanoparticles with an aim to improve the processing of these scaffolds. Furthermore, we address how print fidelity is related to material composition and emphasize the importance of considering this relationship when developing complex scaffolds for bone implants. The ability to create complex tissues is becoming increasingly relevant in the tissue engineering community. For bone tissue engineering applications, this work demonstrates the ability to use extrusion-based printing techniques to control the spatial deposition of hydroxyapatite (HA) nanoparticles in a 3D composite scaffold. In doing so, we combined the benefits of synthetic, degradable polymers, such as poly(propylene fumarate) (PPF), with osteoconductive HA nanoparticles that provide robust compressive mechanical properties. Furthermore, the final 3D printed scaffolds consisted of well-defined layers with interconnected pores, two critical features for a successful bone implant. To demonstrate a controlled gradient of HA, thermogravimetric analysis was carried out to quantify HA on a per-layer basis. Moreover, we non-destructively evaluated the tendency of HA particles to aggregate within PPF using micro-computed tomography (μCT). This work provides insight for proper fabrication and characterization of composite scaffolds containing particle gradients and has broad applicability for future efforts in fabricating complex scaffolds for tissue engineering applications.
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Key Words
- (Tukey’s) Honestly Significant Difference test, HSD
- Analysis of variance, ANOVA
- Atomic force microscopy, AFM
- Diethyl fumarate, DEF
- Dimethyl sulfoxide, DMSO
- Extracellular matrix, ECM
- Fourier transform-infrared spectroscopy, FT-IR
- Hydroxyapatite, HA
- Micro-computed tomography, μCT.
- Phenylbis(246-trimethylbenzoyl)-phosphine oxide, BAPO
- Poly(propylene fumarate), PPF
- Poly(propylene fumarate)-co-poly(ε-caprolactone), PPF-co-PCL
- Polydispersity index, PDI
- Scanning electron microscopy, SEM
- Sodium dodecyl sulfate, SDS
- Stereolithography, STL
- Thermogravimetric analysis, TGA
- Viscosity
- bone tissue engineering
- composites
- compressive modulus
- gradient
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Affiliation(s)
| | - Jesse K. Placone
- Fischell Department of Bioengineering, University of Maryland, College Park, MD, USA
| | | | - John P. Fisher
- Fischell Department of Bioengineering, University of Maryland, College Park, MD, USA
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16
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Xing D, Chen J, Yang J, Heng BC, Ge Z, Lin J. Perspectives on Animal Models Utilized for the Research and Development of Regenerative Therapies for Articular Cartilage. ACTA ACUST UNITED AC 2016. [DOI: 10.1007/s40610-016-0038-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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17
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Trachtenberg JE, Placone JK, Smith BT, Piard CM, Santoro M, Scott DW, Fisher JP, Mikos AG. Extrusion-Based 3D Printing of Poly(propylene fumarate) in a Full-Factorial Design. ACS Biomater Sci Eng 2016; 2:1771-1780. [PMID: 33440475 DOI: 10.1021/acsbiomaterials.6b00026] [Citation(s) in RCA: 68] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
3D printing has emerged as an important technique for fabricating tissue engineered scaffolds. However, systematic evaluations of biomaterials for 3D printing have not been widely investigated. We evaluated poly(propylene fumarate) (PPF) as a model material for extrusion-based printing applications. A full-factorial design evaluating the effects of four factors (PPF concentration, printing pressure, printing speed, and programmed fiber spacing) on viscosity, fiber diameter, and pore size was performed layer-by-layer on 3D scaffolds. We developed a linear model of printing solution viscosity, where concentration of PPF had the greatest effect on viscosity, and the polymer exhibited shear thinning behavior. Additionally, linear models of pore size and fiber diameter revealed that fiber spacing and pressure had the greatest effect on pore size and fiber diameter, respectively, but interplay among the factors also influenced scaffold architecture. This study serves as a platform to determine if novel biomaterials are suitable for extrusion-based 3D printing applications.
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Affiliation(s)
- Jordan E Trachtenberg
- Department of Bioengineering, Rice University, Bioscience Research Collaborative, 6500 Main Street, Houston, Texas 77030, United States
| | - Jesse K Placone
- Fischell Department of Bioengineering, University of Maryland, Jeong Kim Engineering Building, College Park, Maryland 20740, United States
| | - Brandon T Smith
- Department of Bioengineering, Rice University, Bioscience Research Collaborative, 6500 Main Street, Houston, Texas 77030, United States
| | - Charlotte M Piard
- Fischell Department of Bioengineering, University of Maryland, Jeong Kim Engineering Building, College Park, Maryland 20740, United States
| | - Marco Santoro
- Department of Bioengineering, Rice University, Bioscience Research Collaborative, 6500 Main Street, Houston, Texas 77030, United States
| | - David W Scott
- Department of Statistics, Rice University, 6100 Main Street, Houston, Texas 77005, United States
| | - John P Fisher
- Fischell Department of Bioengineering, University of Maryland, Jeong Kim Engineering Building, College Park, Maryland 20740, United States
| | - Antonios G Mikos
- Department of Bioengineering, Rice University, Bioscience Research Collaborative, 6500 Main Street, Houston, Texas 77030, United States
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18
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Deng CX, Hong X, Stegemann JP. Ultrasound Imaging Techniques for Spatiotemporal Characterization of Composition, Microstructure, and Mechanical Properties in Tissue Engineering. TISSUE ENGINEERING PART B-REVIEWS 2016; 22:311-21. [PMID: 26771992 DOI: 10.1089/ten.teb.2015.0453] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Ultrasound techniques are increasingly being used to quantitatively characterize both native and engineered tissues. This review provides an overview and selected examples of the main techniques used in these applications. Grayscale imaging has been used to characterize extracellular matrix deposition, and quantitative ultrasound imaging based on the integrated backscatter coefficient has been applied to estimating cell concentrations and matrix morphology in tissue engineering. Spectral analysis has been employed to characterize the concentration and spatial distribution of mineral particles in a construct, as well as to monitor mineral deposition by cells over time. Ultrasound techniques have also been used to measure the mechanical properties of native and engineered tissues. Conventional ultrasound elasticity imaging and acoustic radiation force imaging have been applied to detect regions of altered stiffness within tissues. Sonorheometry and monitoring of steady-state excitation and recovery have been used to characterize viscoelastic properties of tissue using a single transducer to both deform and image the sample. Dual-mode ultrasound elastography uses separate ultrasound transducers to produce a more potent deformation force to microscale characterization of viscoelasticity of hydrogel constructs. These ultrasound-based techniques have high potential to impact the field of tissue engineering as they are further developed and their range of applications expands.
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Affiliation(s)
- Cheri X Deng
- Department of Biomedical Engineering, University of Michigan , Ann Arbor, Michigan
| | - Xiaowei Hong
- Department of Biomedical Engineering, University of Michigan , Ann Arbor, Michigan
| | - Jan P Stegemann
- Department of Biomedical Engineering, University of Michigan , Ann Arbor, Michigan
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Mansour JM, Lee Z, Welter JF. Nondestructive Techniques to Evaluate the Characteristics and Development of Engineered Cartilage. Ann Biomed Eng 2016; 44:733-49. [PMID: 26817458 PMCID: PMC4792725 DOI: 10.1007/s10439-015-1535-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2015] [Accepted: 12/12/2015] [Indexed: 12/16/2022]
Abstract
In this review, methods for evaluating the properties of tissue engineered (TE) cartilage are described. Many of these have been developed for evaluating properties of native and osteoarthritic articular cartilage. However, with the increasing interest in engineering cartilage, specialized methods are needed for nondestructive evaluation of tissue while it is developing and after it is implanted. Such methods are needed, in part, due to the large inter- and intra-donor variability in the performance of the cellular component of the tissue, which remains a barrier to delivering reliable TE cartilage for implantation. Using conventional destructive tests, such variability makes it near-impossible to predict the timing and outcome of the tissue engineering process at the level of a specific piece of engineered tissue and also makes it difficult to assess the impact of changing tissue engineering regimens. While it is clear that the true test of engineered cartilage is its performance after it is implanted, correlation of pre and post implantation properties determined non-destructively in vitro and/or in vivo with performance should lead to predictive methods to improve quality-control and to minimize the chances of implanting inferior tissue.
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Affiliation(s)
- Joseph M Mansour
- Departments of Mechanical and Aerospace Engineering, Case Western Reserve University, 2123 Martin Luther King Jr. Drive, Glennan Building Room 616A, Cleveland, OH, 44106, USA.
| | - Zhenghong Lee
- Radiology and Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USA
| | - Jean F Welter
- Biology (Skeletal Research Center), Case Western Reserve University, Cleveland, OH, USA
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